A nurse is providing discharge teaching to a client who is taking warfarin. Which of the following information should the nurse include in the teaching?
Take this medication at the same time each day.
Take ginger for constipation while on this medication.
Eat foods high in vitamin K.
Shave with disposable razors.
The Correct Answer is A
A. Take this medication at the same time each day: Consistent timing helps maintain stable anticoagulation levels and reduces the risk of under- or over-anticoagulation. Warfarin’s effectiveness and safety depend on steady dosing and adherence to a regular schedule.
B. Take ginger for constipation while on this medication: Ginger can increase the risk of bleeding when taken with warfarin due to its antiplatelet properties. Clients should avoid supplements or herbal remedies that may interact with anticoagulants unless approved by the healthcare provider.
C. Eat foods high in vitamin K: Foods high in vitamin K, such as leafy greens, can decrease the effectiveness of warfarin by promoting clotting. Clients should maintain a consistent intake rather than increasing consumption to avoid fluctuations in anticoagulation levels.
D. Shave with disposable razors: Clients on warfarin are advised to use electric razors instead of disposable or manual razors to reduce the risk of cuts and bleeding. Using disposable razors increases the likelihood of minor injuries that can lead to excessive bleeding.
Nursing Test Bank
Naxlex Comprehensive Predictor Exams
Related Questions
Correct Answer is D
Explanation
A. A client who has an open fracture of the tibia and reports pain as 5 on a scale of 0 to 10: While the open fracture requires prompt attention to prevent infection and manage pain, it is not immediately life-threatening. This client can be treated after more critical, unstable patients.
B. A client who has suspected appendicitis and reports severe lower right abdominal pain: Suspected appendicitis is urgent but not immediately life-threatening unless complications like rupture occur. This client’s condition is lower priority compared to airway or breathing compromise.
C. A client who has a penetrating head wound and fixed pupils: Fixed pupils suggest a non-survivable brain injury. In a mass casualty or disaster triage situation, this client is considered expectant and would not receive immediate intervention.
D. A client who has flail chest and a respiratory rate of 32/min: Flail chest with increased respiratory rate indicates respiratory compromise and potential hypoxia, which is life-threatening. Airway and breathing take priority, so this client requires immediate intervention to stabilize breathing and prevent rapid deterioration.
Correct Answer is A
Explanation
A. Speech pathologist: Infants who undergo cheiloplasty (surgical repair of a cleft lip) may experience difficulties with feeding, swallowing, and later speech development. Collaboration with a speech pathologist ensures the infant receives guidance on feeding techniques and early intervention for speech and language development.
B. Facility chaplain: While a chaplain can provide emotional and spiritual support to the family, they are not directly involved in the infant’s functional outcomes related to cheiloplasty. Their role is supportive rather than interventional for feeding or speech development.
C. Physical therapist: Physical therapy is not typically indicated after cheiloplasty unless there are unrelated musculoskeletal concerns. It does not address the primary needs related to feeding or speech associated with cleft lip repair.
D. Orthopedic specialist: An orthopedic specialist manages musculoskeletal conditions and would not be involved in the care or rehabilitation of an infant following cleft lip repair unless there were unrelated orthopedic issues.
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